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All Journal JKM (Jurnal Kebidanan Malahayati) JOMIS (Journal of Midwifery Science) Jurnal Keperawatan dan Fisioterapi (JKF) JURNAL KEBIDANAN KESTRA (JKK) Jurnal Kesmas dan Gizi (JKG) JURNAL ILMIAH OBSGIN : Jurnal Ilmiah Ilmu Kebidanan & Kandungan Jurnal Aisyah : Jurnal Ilmu Kesehatan JURNAL PENELITIAN KEBIDANAN & KESPRO Nursing Care and Health Technology Journal (NCHAT) Jurnal Indonesia Sosial Sains Jurnal Pengmas Kestra (JPK)
Ginting, Desideria Yosepha
INSTITUT KESEHATAN MEDISTRA LUBUK PAKAM
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Education on Exclusive Breastfeeding to Breastfeeding Mothers in the Pustu Sugiharjo Dusun II Village Batang Kuis Saragih, Astri Ulina; Ginting, Desideria Yosepha
JURNAL PENGMAS KESTRA (JPK) Vol. 4 No. 2 (2024): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jpk.v4i2.2402

Abstract

Exclusive breastfeeding plays a crucial role in the health of mothers and infants. Providing exclusive breastfeeding for the first six months of an infant's life can reduce the risk of child mortality and protect mothers from various diseases, including breast cancer. Despite its clear benefits, the global rate of exclusive breastfeeding remains low, with less than 40% of infants receiving exclusive breast milk. Factors such as maternal health issues, breast pain, and social stigma around breastfeeding in public often act as barriers. Method this program was implemented through a series of educational activities, including lectures, discussions, and Q&A sessions, emphasizing the importance of breast milk for the health of both mothers and infants. The outreach was attended by 20 breastfeeding mothers and took place on Friday, November 15, 2024, lasting 1 hour and 45 minutes. The program aims to encourage more mothers to adopt healthy breastfeeding practices. With ongoing support and guidance, it is hoped that awareness of the benefits of exclusive breastfeeding will increase, positively impacting the health of mothers, infants, and families. The program also highlights the importance of collaboration among healthcare providers, the government, and the community to create an environment that supports exclusive breastfeeding. As a result of this activity, breastfeeding mothers gained information and education about the importance of exclusive breastfeeding and how to implement it during the first six months after birth, particularly in the Sugiharjo Dusun II, under the jurisdiction of Pustu Desa Sugiharjo Batang Kuis.
Analysis of the implementation of the exclusive breastfeeding policy in the working area of Panombean Panei Health Center Rika Maya Sari Saragih; Sitorus, Rotua Sumihar; Ginting, Desideria Yosepha
JURNAL KESMAS DAN GIZI (JKG) Vol. 6 No. 2 (2024): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jkg.v6i2.1782

Abstract

Abstract According to Government Regulation No. 33 of 2012 it is stated that Exclusive Breast Milk, hereinafter referred to as Exclusive Breast Milk, is breast milk given to babies from birth for 6 (six) months, without adding and/or replacing it with other food or drinks. . The impact if the mother does not give exclusive breastfeeding, the baby will be at risk of experiencing health problems and being susceptible to infection. This research is a descriptive qualitative research. The research was conducted at the Panombean Panei Health Center. The research informants were 7 people, the samples were taken by snowballing. Data were analyzed in depth in narrative form by means of data reduction, data presentation, drawing conclusions/verification.The results of the study show that the implementation of the exclusive breastfeeding program at the Panombean Panei Health Center has not been maximized, for the last 4 years the average <40% is still far from the national target of 85%. Bureaucratically, the parties responsible for and involved in the exclusive breastfeeding program are the head of the Puskesmas, the MCH program holder, the nutrition program holder, and the village midwife. Recording and reporting is carried out by the village midwife every month and the health center reports to the Simalungun District Office at the beginning of the month. The resources of health personnel in promoting the exclusive breastfeeding program are sufficient. ASI corner is available but not utilized. Facilities and infrastructure for counseling are still lacking such as leaflets and booklets. The source of funds comes from Health Operational Assistance (BOK) combined with other MCH programs. There is no charge for the implementation of the exclusive breastfeeding program. The disposition or attitude of health workers is good and friendly in providing counseling about exclusive breastfeeding, providing information that is easily understood by mothers. Not all mothers can attend posyandu because of work. Supervision is not carried out specifically and the sanctions are only in the form of a warning. Communication in the implementation of the exclusive breastfeeding program was carried out by health workers by going into the field providing counseling or education by cooperating with the village midwife by forming a class for pregnant women and a class for babies. The frequency of counseling is not routine because the area of the Panombean Panei Health Center is wide. Keywords: Application of Policy, Exclusive Breastfeeding Program, Health Center
Health Education and Uric Acid Examination for the Elderly in Region IV Pasar 0, Working Area of Lubuk Pakam Health Saragih, Astri Ulina; Ginting, Desideria Yosepha; Turnip, Meria; Yulanda, Risky; Natalia, Santa
JURNAL PENGMAS KESTRA (JPK) Vol. 5 No. 1 (2025): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/jm2ak778

Abstract

Hyperuricemia, or elevated uric acid levels in the blood, is a common condition among the elderly and may lead to gout arthritis, a painful inflammatory joint disease. This condition is closely related to other degenerative diseases such as hypertension, diabetes mellitus, metabolic syndrome, and cardiovascular disorders. Global data indicate that the prevalence of gout in the elderly reaches 2,505.4 per 100,000 people, making it a significant public health concern. In Indonesia, the prevalence of hyperuricemia in the elderly varies by region, with some reporting up to 18.6%. In Deli Serdang Regency, specifically in Namorih Village, Pancur Batu Subdistrict, a study found that 42.5% of elderly individuals had elevated uric acid levels .This community service aimed to increase awareness and knowledge among the elderly about the prevention and management of hyperuricemia through health education. The method used was an interactive educational session that included lectures and discussions. The activity took place on Apr22, 2025, in Region IV under the working area of Lubuk Pakam Health Center, involving 20 elderly participants.The results showed a significant increase in participants' understanding regarding healthy lifestyle choices, including low-purine diets, regular physical activity, and the importance of regular uric acid screening. Active engagement during discussions demonstrated the participants' enthusiasm to apply the knowledge in their daily routines. .In conclusion, health education using lecture and discussion methods proved effective in enhancing elderly awareness regarding hyperuricemia prevention and control. Similar activities are recommended to be conducted regularly in other regions to improve elderly quality of life .
Socio-Cultural Influence on Stunting Incidence in Children Aged 0 – 59 Months In Tarempa Village, Siantan District, Anambas Islands Regency In 2025 Sitorus, Christ Natalin; Kasim, Felix; Ginting, Desideria Yosepha
Jurnal Indonesia Sosial Sains Vol. 6 No. 6 (2025): Jurnal Indonesia Sosial Sains
Publisher : CV. Publikasi Indonesia

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.59141/jiss.v6i6.1744

Abstract

Tarempa Village is a village with the highest stunting rate in Tarempa Village, Siantan District, which is 7.14%. Socio-cultural factors are characteristics of a nation or region that can form patterns of community behavior, which may have an indirect impact on health, derived from hereditary beliefs and traditions. Some of these are in line with health rules, while others are less aligned, and they are involved in their roles within the cultural, social, economic, and health service systems. This study aims to analyze the socio-cultural influence on the incidence of stunting in children aged 0–59 months in Tarempa Village, Siantan District, Anambas Islands Regency. The research sample consisted of 101 parents of toddlers, selected using a purposive sampling technique. The research design used is a Mixed Method. Data collection was carried out using questionnaires and the in-depth interview method. Questionnaire tests were used to guarantee the validity and reliability of the instrument. The study showed a significant influence of cultural, social, and health service systems on the incidence of stunting (p < 0.05) in Tarempa Village, Siantan District, Anambas Islands Regency. There is a significant influence between cultural, social, and health care systems and stunting. The researcher suggested that indigenous leaders should be directly involved in KIE (communicative, informative, and educational) efforts with the community, parents, and the environment, to play an active role in improving children's nutritional status, as well as the involvement of other stakeholders in realizing a qualified health service system.
The Effect of Giving Cinnamon Infusion with Honey on Primary Dysmenorrhea Pain in Adolescents Riris Sitorus; Desideria Yosepha Ginting; Grace Erlyn Damayanti S; Mayang Citra Hariati
JURNAL KEPERAWATAN DAN FISIOTERAPI (JKF) Vol. 8 No. 2 (2026): Jurnal Keperawatan dan Fisioterapi (JKF)
Publisher : Fakultas Keperawatan dan Fisioterapi Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/317gzr74

Abstract

Primary dysmenorrhea is a condition that may reduce adolescents’ quality of life, as it can interfere with daily activities and increase the risk of absenteeism from school or work. The management of this condition remains suboptimal, as most adolescents tend to rely on analgesic medications, while the long-term use of chemical drugs is associated with potential adverse effects, including disorders of the gastrointestinal system, kidneys, and liver. Therefore, safer alternative therapies are needed, one of which is the use of natural ingredients such as cinnamon and honey. This study aimed to analyze the effect of administering a cinnamon infusion combined with honey on the intensity of primary dysmenorrhea pain in adolescents. A quantitative approach with a quasi-experimental design using a pretest-posttest control group design was employed. The study population consisted of 60 students experiencing primary dysmenorrhea, with a sample of 38 respondents selected using purposive sampling technique. Data analysis was performed using the independent sample t-test with a 95% confidence level (α = 0.05). The results showed a significant effect of administering a cinnamon infusion combined with honey on reducing primary dysmenorrhea pain in adolescents (p < 0.001). In conclusion, a cinnamon infusion combined with honey was proven to be effective in reducing primary dysmenorrhea pain; therefore, healthcare providers, particularly midwives, as well as schools are recommended to promote this intervention as an alternative management for dysmenorrhea pain in adolescents.
Strategy to Improve Exclusive Breastfeeding Coverage Through Optimizing the Role of Posyandu Cadres in the Working Area of Sibande Community Health Center, Pakpak Bharat Regency, 2025 Syafrida Eriyanti; Rahmad Gurusinga; Desideria Yosepha Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/6sc8nw40

Abstract

Exclusive breastfeeding during the first six months of life is an important indicator of maternal and infant health. However, the coverage of exclusive breastfeeding in the working area of the Sibande Community Health Center, Pakpak Bharat Regency, is still not optimal. One of the factors contributing to the improvement of exclusive breastfeeding coverage is the role of Posyandu cadres as the frontline of community-based health services. This study aims to describe the role of Posyandu cadres, identify the obstacles they face, and formulate strategies to improve exclusive breastfeeding coverage through the optimization of the role of Posyandu cadres. This study employed a qualitative approach with a phenomenological study design. Informants were selected purposively and consisted of 12 participants, including Posyandu cadres, breastfeeding mothers with infants aged 0–6 months, and health workers from the Sibande Community Health Center. Data were collected through in-depth interviews, observation, and documentation studies, and were subsequently analyzed using thematic analysis. The results showed that Posyandu cadres play roles as educators, motivators, companions, and intermediaries between breastfeeding mothers and health workers. However, these roles have not been performed optimally due to limited knowledge and counseling skills related to breastfeeding, the influence of local cultural practices, and the lack of continuous guidance and support. The discussion indicates that optimizing the role of cadres through exclusive breastfeeding counseling training, continuous mentoring, the provision of educational media, and strengthened cross-sector coordination has the potential to improve exclusive breastfeeding coverage. The conclusion of this study highlights that optimizing the role of Posyandu cadres is an important strategy for increasing exclusive breastfeeding coverage. It is recommended that the Community Health Center regularly conduct exclusive breastfeeding counseling training and strengthen supervision and support for Posyandu cadres.
Analysis of Individual and Behavioral Factors Affecting the Success of Pulmonary Tuberculosis Treatment at Sukaramai Public Health Center, Pakpak Bharat Regency Rusmiaty Sinaga; Reni Aprinawaty Sirait; Desideria Yosepha Ginting
JURNAL KESMAS DAN GIZI (JKG) Vol. 8 No. 2 (2026): Jurnal Kesmas dan Gizi (JKG)
Publisher : Fakultas Kesehatan Masyarakat Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/1gn7jj71

Abstract

Pulmonary tuberculosis (TB) remains a major global public health problem, with suboptimal treatment success rates in many regions. This study aimed to analyze individual and behavioral factors affecting the success of pulmonary TB treatment at Sukaramai Public Health Center, Pakpak Bharat Regency. This study employed an analytical observational design with a cross-sectional approach. The population consisted of 328 TB patients, with a sample of 180 respondents selected using purposive sampling. The variables studied included age, sex, education, knowledge, and medication adherence. Data were analyzed using univariate, bivariate (Chi-square test), and multivariate (logistic regression) analyses with a significance level of 0.05. The results showed that most respondents were aged >40 years (63.9%), female (56.7%), had low education levels (71.1%), and had poor knowledge (50.6%). Medication adherence was relatively good, with 59.4% of respondents classified as adherent. Bivariate analysis indicated significant associations between knowledge (p=0.002) and medication adherence (p=0.019) with treatment success. However, multivariate analysis revealed that only medication adherence had a significant effect on treatment success (OR=3.12; 95% CI: 1.65–5.90; p=0.001), while knowledge was not statistically significant. In conclusion, medication adherence is the most dominant factor influencing the success of pulmonary TB treatment. Therefore, interventions should focus on improving patient adherence through continuous health education, family support, and strengthening treatment supervision systems to enhance treatment outcomes.
Effectiveness Of Lime Juice Administration (Citrus Aurantifolia) On Nausea Vomiting In Pregnant Women At Matahari Primary Clinic Tj. Morawa Desideria Yosepha Ginting; Cyntia Deana
JURNAL KEBIDANAN KESTRA (JKK) Vol. 8 No. 1 (2025): Jurnal Kebidanan Kestra (JKK)
Publisher : Fakultas Kebidanan Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/enca1d55

Abstract

Background: Experiencing nausea or sickness while pregnant is common, especially in the first trimester, and it can have serious consequences for the mother's and foetus' health. Hormonal changes, gastrointestinal sensitivities, and psychological issues are usually associated with these symptoms, which about 70-80% of pregnant women experience. A natural cure that may alleviate nausea is lime, which is abundant in antioxidants and vitamin C. Lime has antiemetic qualities thought to be possessed by ingredients including citric acid and essential oils. When it comes to nausea and vomiting during pregnancy, using lime juice as a supplementary treatment is thought to provide a safer and more instinctual alternative. Objectives: This research is conducted to see if lime juice (Citrus aurantifolia) will help pregnant women who are experiencing nausea and vomiting during the first trimester who visit the Matahari Tj. Morawa Health Clinic. Research Method: This statistical study uses the non-parametric Wilcoxon test with a one-group pretest-posttest design. All moms at the Matahari Tj. Morawa Wellness Clinic who were in their first trimester were part of the research population. The intensity of vomiting was assessed using the PUQE-24, and a collection size of 14 participant was established using Slovin's algorithm. Research Results: At the Matahari Tj. Morawa Health Clinic, pregnant women in their first trimester reported less nausea and vomiting after drinking lime juice (p 0.001). Conclusion: Researchers at the Matahari Tj. Morawa Health Clinic found that pregnant women experiencing nausea and vomiting during the first trimester of their pregnancies found relief by drinking lime juice. The clinic should inform expectant moms about the benefits of lime juice for reducing morning sickness and vomiting, particularly in the first trimester.
Training on the Preparation of Cinnamon and Honey Infusions to Reduce Menstrual Pain among Adolescent Girls Riris Sitorus; ⁠Mayang Citra Hariati; Diah Evawanna Anuhgera; Grace Erlyn D. Sitohang; Desideria Yosepha Ginting
JURNAL PENGMAS KESTRA (JPK) Vol. 6 No. 1 (2026): Jurnal Pengmas Kestra (JPK)
Publisher : Lembaga Penelitian dan Pengabdian Kepada Masyarakat (LP2M) Institut Kesehatan Medistra Lubuk Pakam

Show Abstract | Download Original | Original Source | Check in Google Scholar | DOI: 10.35451/q95q7n54

Abstract

Menstrual pain is one of the most common reproductive health problems experienced by adolescent girls and may adversely affect learning concentration, productivity, and overall quality of life. Limited knowledge regarding non-pharmacological approaches to menstrual pain management often leads adolescents to endure the discomfort or rely on analgesic medications without adequate information. This community service program aimed to enhance adolescent girls’ knowledge and practical skills in preparing cinnamon and honey infusions as a complementary approach to alleviating menstrual pain. The program was implemented using an educational and participatory approach through health education sessions, interactive discussions, demonstrations, and hands-on practice. A total of 25 adolescent girls who had experienced menstruation participated in the activity. Program evaluation was conducted using pretests and posttests to assess knowledge improvement, observational checklists to evaluate practical skills, and participant satisfaction questionnaires. The results demonstrated a substantial increase in participants’ mean knowledge score, from 58.13 before the training to 87.73 after the intervention. The highest improvement (64.96%) was observed in knowledge related to the preparation procedure of cinnamon and honey infusions. Skills assessment revealed that 60.0% of participants achieved a very good category and 32.0% achieved a good category in preparing the infusion. Participant satisfaction was also remarkably high, with 84.0% reporting that they were very satisfied with the program. These findings indicate that training on the preparation of cinnamon and honey infusions is effective in improving adolescent girls’ knowledge and skills regarding non-pharmacological menstrual pain management through the utilization of safe, affordable, and readily available natural ingredients.
Co-Authors ACHMAD RIFAI Agnes Erna Uly Saragih Simarmata Anita Sri Gandaria Purba Anuhgera, Diah Evawanna Arfah May Sara Arfah May Syara Astri Ulina Saragih Cyntia Deana Damayanti Damayanti Diah Evawanna Anuhgera Donal Nababan Dwi Handayani Eva Graciella Sihaloho Eva Solina Barus Fauziah Fitri Felix Kasim Grace Erlyn Grace Erlyn D. Sitohang Grace Erlyn Damayanti S Ika Nur Saputri Ilusi Ceria Zendato Irmayani Irmayani Ivan Elisabeth Purba Jasmen Manurung Juliana . Juneris Aritonang Juni Mariati Simarmata Kandace Sianipar KHORI SILVIA SARAGIH Lasima Hotma Sitio Layari Tarigan Mayang Citra Hariati Melati Widuri Meria Turnip Munthe, Novita Br Ginting Natalia, Santa Nikmah Jalilah Ritonga Nurhayati Nurhayati Purba, Anita Sri Gandaria Rahmad Gurusinga Rahmat Alyakin Dakhi Raisha Octavariny Rika Maya Sari Saragih Riris Sitorus Rosita Ginting Rosmawaty Irma Suryani Siagian Rotua Sumihar Sitorus Rusmiaty Sinaga Safrina Daulay Sirait, Reni Aprinawaty Sitorus, Christ Natalin Sitorus, Riris SUNENGSIH, SUNENGSIH Suriani Ginting Susi Endriyana Syafria Nirwana Syafrida Eriyanti Syara, Arfah May Yenni Hastita Yulanda, Risky ⁠Mayang Citra Hariati